Drug IndexRuxience (Rituximab-Pvvr)



Billing

Code: Q5119

Description: Inj ruxience, 10 mg

Unit: 10 MG

Payment: $20.275

Pay quarter: Q2 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

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(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

00069-0238-01

Ruxience (Pfizer Laboratories Div Pfizer Inc)

1 VIAL, SINGLE-USE in 1 CARTON (0069-0238-01) / 10 mL in 1 VIAL, SINGLE-USE


00069-0249-01

Ruxience (Pfizer Laboratories Div Pfizer Inc)

1 VIAL, SINGLE-USE in 1 CARTON (0069-0249-01) / 50 mL in 1 VIAL, SINGLE-USE



Prior Authorization


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